Individual
DR. ALBERT DAVID MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2351 CONNECTICUT AVENUE SOUTH, SUITE 200, SARTELL, MN 56377
(320) 259-1411
Mailing address
28 EDGEWATER LN, SARTELL, MN 56377-2011
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21622
MN
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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